A child with a primary immunodeficiency disorder had ...

[nevelica]

A child with a primary immunodeficiency disorder had postimmunization titers drawn. The titers came back low. Which explanation does the nurse give the parents?
 
  A.
  The immunizations had no effect on the child.
  B.
  This result indicates a hyperactive response.
  C.
  Vaccinations are not needed in your child.
  D.
  Your child's immune system did not respond.

Question 2

A 10-month-old-child is in the pediatric clinic for his eighth ear infection. Which assessment is most important for the nurse to perform on this child?
 
  A.
  Ask the parent about possible allergy testing.
  B.
  Assess the child's mouth for oral thrush.
  C.
  Graph height and weight on the growth chart.
  D.
  Inquire about the health of the entire family.

[essyface1]

Answer to Question 1

ANS: D
The most correct answer is that the low titers indicate that the child's immune system did not respond adequately to the vaccinations. It cannot be determined if they had no effect at all on the child. Although vaccinations did not produce the desired response, that does not mean they are not needed; they just did not work as planned. This child had a hypoactive, not hyperactive, response.

Answer to Question 2

ANS: C
Children with primary immunodeficiencies can often be identified using Modell's 10 Warning Signs, which include failure to gain weight or grow properly. The nurse should assess the child's height and weight and graph it on the growth chart, comparing it to normal values for the child's age. Persistent oral or skin thrush is another sign if it persists past 1 year of age. Assessing for parental views on allergy testing is not related. Because these deficiencies are congenital, asking about the health of the entire family is too vague; it would be important to ask specifically about a history of primary immunodeficiencies, however.

[nevelica]

Thanks for the timely response, appreciate it

[zacnyjessica]

Excellent